It's just gotta pass the Turing Test. The doctor in question could be represented by this pseudocode with no nesting:
claimstatus = rejected
randomvalue = GetRandomValue(1,100)
If (randomvalue <= 20), Then claimstatus = approved
return claimstatus
Doesn't even have to read the application. Well, maybe the name or app number just so it can reference it in the official response. That might be another application, though, with this one being the review application.
